Individual
JOSEPH JAMES AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC INTERN
Contact information
Practice address
399 N MAIN ST, MANAHAWKIN, NJ 08050-3069
(732) 875-1090
(732) 875-1091
Mailing address
399 N MAIN ST, MANAHAWKIN, NJ 08050-3069
(732) 875-1090
(732) 875-1091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2015-000379
NJ
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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